Jason Randall Dura, Ph.D.
Psychologist, Clinical in Sylvania, OH. Individual provider (NPI-1).
NPI number1285837815
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285837815
- Entity type
- Individual (NPI-1)
- Name
- Jason Randall Dura
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jun 10, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 4078 | OH | Yes |
| 103TC0700X | Psychologist, Clinical | 6301010842 | MI |
Practice location
8165 Kevin LnSylvania, OH 43560-1097
Phone 419-885-2751 · Fax 419-824-0455
Mailing address
8165 Kevin LnSylvania, OH 43560-1097
Phone 419-885-2751 · Fax 419-824-0455
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